DR. HAKU KEVIN KAHOANO (M.D.) – General Practice Physician, NPI 1073714937

DR. HAKU KEVIN KAHOANO (M.D.) is a healthcare provider. based in Jamestown, California. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD-14815 (HI). The NPI Number for DR. HAKU KEVIN KAHOANO (M.D.) is 1073714937

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAKU KEVIN KAHOANO (M.D.)
NPI
1073714937
Phone
(209) 984-4824
Address
18144 SECO ST
Enumeration Date
29 May 2007
Last Update Date
18 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3368830029
Graduation Year
2006 (20 years ago)
PAC ID
8426362906
Group Practice PAC ID
4486614575
Professional Enrollment ID
I20200424002212
Address ID
NC272624303HI507XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

21,511 INTERNAL MEDICINE in CA

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Provider Addresses for DR. HAKU KEVIN KAHOANO (M.D.)

  • 18144, Seco Street, Mother Lode West, Jamestown, Tuolumne County, California, 95327, United States

    MATHIESEN MEMORIAL HEALTH CLINIC

    JAMESTOWN, CA 953279737

    Phone: (209) 984-4824

    Type: Location

  • 201, Highland Ridge Drive, Highland Ridge Apartment Homes, Manhattan, Riley County, Kansas, 66503, United States

    MANHATTAN, KS 665032428

    Phone: (714) 916-5156

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $818.

Total Amount is formed as General ($818) + Research ($0) + Ownership ($0) = $818.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: Novo Nordisk Inc ($203).

Total Amount

$818

General + Research + Ownership

Payments

45

Total payment records

General Amount

$818

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-04-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200424002212IInternal MedicineNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes24185$0
80307Testing for presence of drug, by chemistry analyzers12640$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8961$0
80061Blood test, lipids (cholesterol and triglycerides)6647$0
80053Blood test, comprehensive group of blood chemicals6637$0
View full utilization report →

Insurance plans in this area (ZIP 95327)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486614575View full group profile
NameSpecialtyState
-NC
Critical Care (Intensivists), Pulmonary DiseaseNC
-NC
Physician AssistantNC
Cardiovascular Disease (Cardiology), Diagnostic Radiology, Internal Medicine, Nuclear Medicine, Nuclear MedicineNC
Nurse PractitionerNC
P A T H O L O G YNC
-NC
Internal MedicineNC
-NC

Reviews

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Frequently asked questions

Does DR. HAKU KEVIN KAHOANO (M.D.) have a public NPI I can cite?
Public records show DR. HAKU KEVIN KAHOANO (M.D.) under NPI 1073714937.
Should I treat DR. HAKU KEVIN KAHOANO (M.D.) as an active provider?
Patients and plans typically see DR. HAKU KEVIN KAHOANO (M.D.) as active in the national extract.
What type of care does DR. HAKU KEVIN KAHOANO (M.D.) provide?
DR. HAKU KEVIN KAHOANO (M.D.)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. HAKU KEVIN KAHOANO (M.D.)?
DR. HAKU KEVIN KAHOANO (M.D.) is associated with Jamestown, California in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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